Bone breaks part 3 Flashcards
1
Q
Where are vertebral compression fractures most common?
A
thoracic region: T1-T12
2
Q
What is the key to compression fractures?
A
prevention
3
Q
How should you reposition a pt with a compression fracture?
A
log roll
4
Q
What devices and procedures are used for management of vertebral compression fractures?
A
- TLSO brace for vertebral alignment
- vertebroplasty: bone cement for stabilizing not to correct deformity
- kyphoplasty: balloon into cancellous bone and then cement is injected
- surgery is not the first choice
5
Q
What are the risks of the cement associated with vertebroplasty and kyphoplasty?
A
- allergic reaction to cement
- PE if cement gets into vein
- nerve damage/paralysis
6
Q
What are the 2 types of hip fracture?
A
- intracapsular: head of femur
- extracapsular: trochanter region
7
Q
What are common complications of fractures and the older adult?
A
- Delirium
- Pressure Ulcers
- VTE
- Malnutrition
- Constipation
- Fluid and electrolyte imbalances
- Functional decline
- Infections
- Prevention of secondary fractures
